Publications by authors named "Kristin Silcox"

Objectives: We describe clinical characteristics, pregnancy, and infant outcomes in pregnant people with laboratory-confirmed SARS-CoV-2 infection by trimester of infection.

Study Design: We analyzed data from the Surveillance for Emerging Threats to Mothers and Babies Network and included people with infection in 2020, with known timing of infection and pregnancy outcome. Outcomes are described by trimester of infection.

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Article Synopsis
  • * Results showed that those with critical or asymptomatic COVID-19 in the second or third trimester faced a higher risk of preterm birth, while those with moderate-to-severe illness did not.
  • * The study concludes that critical COVID-19 during the later trimesters increases preterm birth risk, highlighting the importance of vaccination and clinical care for pregnant individuals.
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Background: Multiple reports have described neonatal SARS-CoV-2 infection, including likely in utero transmission and early postnatal infection, but published estimates of neonatal infection range by geography and design type.

Objectives: To describe maternal, pregnancy and neonatal characteristics among neonates born to people with SARS-CoV-2 infection during pregnancy by neonatal SARS-CoV-2 testing results.

Methods: Using aggregated data from the Surveillance for Emerging Threats to Mothers and Babies Network (SET-NET) describing infections from 20 January 2020 to 31 December 2020, we identified neonates who were (1) born to people who were SARS-CoV-2 positive by RT-PCR at any time during their pregnancy, and (2) tested for SARS-CoV-2 by RT-PCR during the birth hospitalisation.

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Objectives: A statewide Maryland Perinatal Neonatal Quality Collaborative, facilitated by the Maryland Patient Safety Center (MPSC), identified the three specific, measurable, attainable, relevant, and time-limited (SMART) aims to improve outcomes of neonatal abstinence syndrome (NAS) care as follows: (1) to reduce hospital length of stay (LOS), (2) to reduce interhospital transfers, and (3) to reduce 30-day readmission rates of infants with NAS.

Study Design: The Maryland collaborative developed a bundle of best practices for care of infants with NAS. MPSC partnered with Vermont Oxford Network (VON) to utilize the VON NAS toolkit and provided its standardized NAS educational curriculum to address the three objectives for participating birthing hospitals.

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Article Synopsis
  • * Data was collected from a large group of 7950 pregnant women with confirmed SARS-CoV-2 infections between March 2020 and March 2021, analyzing demographic and health characteristics to determine illness severity.
  • * Key findings highlighted that being 25 or older, having certain occupations, and existing health conditions like obesity or diabetes significantly increased the risk of severe COVID-19 in pregnant women, helping to shape public health messaging on this issue.
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